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Individual
NATHANIEL KYLE BALLEK
Active
Individual
NATHANIEL KYLE BALLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
04-36531
KS
208800000X
Urology Physician
MD192199
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49160026
BCBS
KS
Enumeration date
07/12/2007
Last updated
06/29/2021
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